Percutaneous Mechanical Thrombectomy for Acute Limb Ischemia With Aorto-iliac Occlusion.
Percutaneous Mechanical Thrombectomy for Acute Limb Ischemia With Aorto-iliac Occlusion.
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DOI：
10.3389/fsurg.2022.831922
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发表时间：
2022
影响因子：
1.8
通讯作者：
Qin, Jinbao
中科院分区：
文献类型：
--
作者：
Yang, Xinrui;Li, Xiangxiang;Yin, Minyi;Wang, Ruihua;Ye, Kaichuang;Lu, Xinwu;Li, Weimin;Cheng, Yong;Qin, Jinbao
关键词：
评估 Rotarex 导管经皮机械血栓切除术 (PMT) 对主髂动脉闭塞引起的急性下肢缺血 (ALI) 患者的疗效。回顾性分析我院2010年1月至2020年4月因主髂动脉闭塞所致ALI患者的资料。主要终点是保肢率。次要终点包括技术成功率、生存率、术后和随访期间的并发症。共有 85 名 ALI 患者被诊断为主髂动脉闭塞。 38 名患者接受 Rotarex 导管 PMT 治疗并参加本研究。男性 24 人（63.2%），女性 14 人（36.8%）。平均年龄为 66 岁（范围 28-83 岁）。所有 38 名患者均接受 PMT 治疗，并附加导管定向溶栓 (2/38, 5.3%)、球囊血管成形术 (8/38, 21.1%) 和支架置入术 (7/38, 18.4%)。平均手术时间为 123 ± 31 分钟。 7 名患者（18.4%）接受了连续肾脏替代治疗。两名患者接受了大截肢（膝盖以上），两名患者在住院期间因肾功能不全和心力衰竭死亡。 30天生存率为94.7%，保肢率为94.4%。平均随访时间为 14.0 个月（8-22 个月）。随访期间未发生大截肢和靶动脉闭塞的情况。采用 Rotarex 导管的 PMT 可能成为急性主髂动脉闭塞的新选择，从而获得安全有效的结果。
To evaluate the outcomes of percutaneous mechanical thrombectomy (PMT) with Rotarex catheter in patients with acute lower limb ischemia (ALI) caused by aorto-iliac occlusion. Data of patients with ALI caused by aorto-iliac occlusion in our institutions from January 2010 and April 2020 were reviewed. The primary end point was limb salvage rate. The secondary end points included technical success rate, survival rate, complications after the operation and during the follow-up. A total of 85 patients with ALI was diagnosed with aorto-iliac occlusion. Thirty-eight patients were treated by PMT with Rotarex catheter and enrolled in present study. Twenty-four were male (63.2%), and 14 were female (36.8%). The mean age was 66 years (range 28–83). All 38 patients were treated with PMT, with additional catheter directed thrombolysis (2/38, 5.3%), balloon angioplasty (8/38, 21.1%) and stent deployment (7/38, 18.4%). The mean procedure time was 123 ± 31 min. Seven patients (18.4%) underwent continuous renal replacement therapy. Two patients received major amputations (above the knee) and 2 patients died for renal insufficiency and heart failure during the hospital stay. Thirty-day survival rate was 94.7% and limb salvage was 94.4%. The mean follow-up time was 14.0 months (8–22 months). There was no major amputation and target artery occlusion occurred during the follow-up period. PMT with Rotarex catheter could be new option for acute aorto-iliac occlusion, leading to safe and effective results.
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影响因子：
39.3
作者：
Steffel, Jan;Verhamme, Peter;Heidbulchel, Hein
通讯作者：
Heidbulchel, Hein
影响因子：
1.5
作者：
Liang, Siyuan;Zhou, Long;Lu, Xinwu
通讯作者：
Lu, Xinwu
影响因子：
3.6
作者：
Loffroy R;Falvo N;Galland C;Fréchier L;Ledan F;Midulla M;Chevallier O
通讯作者：
Chevallier O
影响因子：
37.8
作者：
Rogers, Jason H.;Laird, John R.
通讯作者：
Laird, John R.
影响因子：
4.3
作者：
Rutherford, RB;Baker, JD;Jones, DN
通讯作者：
Jones, DN